The Comparative Study Of TINS And CCS Of Traumatic Craniolcerebral Injury In Infant

ObjectiveTo investigate the comparative study of the Trauma InfantNeurologic Score(TINS) and Children Coma Scale (CCS) to further judgethe severity and predict the prognostic value of traumatic craniolcerebralinjury in infants.Materials and MethodsWe collected167cases of infants traumatic craniolcerebral injuryfrom January2012to December2012in our hospital, and recorded theirclinical data, different TINS and CCS scores of four different time points(in the admission,24hours post-admission,72hours post-admission,1week post-admission), the severity of injury and prognosis respectively.We used Bowker to analyze the symmetry consistency of TINS and CCS,and Tukey test to analysis of variance of the the extent of the injury andprognosis grade, to judge the severity and predict the prognosis oftraumatic craniocerebral injury of these two scales. Results1.The group of139cases of traumatic craniocerebral injury in infantswere light,19cases of moderate,9cases of severity;4cases of prognosisgrade Ⅲ,11cases of grade Ⅱ,152cases of grade Ⅰ, there was not gradeⅣ and Ⅴ.2.We used repeated measures ANOVA Tukey test to analysis ofvariance of the extent of injury.There were positively correlated of TINSand CCS with the extent of injury, especially in the time of admission, oneday post-admission and three days post-admission between each of thetwo levels, suggesting that the lower of TINS or the higher of CCS, thelighter of injury.3.We used repeated measures ANOVA Tukey test to Prognosticclassification.The TINS was significant associated of grading andprognosis between Ⅲ and Ⅳ, Ⅲ and Ⅴ, Ⅳ and Ⅴ,but there was notsignificant between grade Ⅲ and Ⅳ. The CCS was significant associatedof grading and prognosis between Ⅴ and Ⅲ,but there was notsignificant between grade Ⅲ and Ⅳ, Ⅳ and Ⅴ, Ⅳ and Ⅴ.4.We used Bowker to analyze the symmetry consistency of TINS andCCS.The TINS is closer than CCS of severity in admission, both TINSand CCS were good enough to judge the consistency of traumaticcraniolcerebral injury in the1day post-admission,3days post-admissionand1week post-admission,and there was high reliability. Conclusion1.Both TINS and CCS are good to determine the extent of traumaticcraniocerebral injuey in infants, there was no significant difference.2.The TINS is superior than CCS in predicting the prognosis oftraumatic craniocerebral injury in infants.3.Both TINS and CCS are good enough to judge the consistency oftraumatic craniolcerebral injury,and the TINS is closer than CCS of theconsistency in admission.